Registration Form

Registration Form

   
Workshop Name :
:
Start Date : End Date :
First name : Last Name :
Residential Address  
State : PinCode :
Country : Mobile No :
E-mail : Office / Res Tel No :

Investment (INR)

 :

(Non refundable / Non transferrable)

Cash/Cheque no :
 
Dated :
Drawn on: Branch:
Enrolled and Registered By :
Signature : Date :
Cheque (payable at par) to be drawn in favour of 'KRYON SOURCE EDUCATION PVT. LTD.' and deposited in Current A/c no. is 00192020001567, HDFC BANK, Juhu, Mumbai.
           
For Office Use Only :
Money deposited on________________________________ Acknowledged on _________________________ Attended By _________________________
           
Our Contact Details :
Pune
office no. 17, Nyati Estate,
(Near DPS) Mohammadwadi,
Pune-411 028, INDIA.
Mob : (+91) 9320333201 / 9320333204
          9850553124 / 9881136920 		Mumbai
7, Vibhuti Bldg.,
Shanti lane, Juhu,
Mumbai - 400 049, INDIA.
Mob : (+91) 9320333202 / 9820129410
 
QUESTIONNAIRE         
The Magic of your life begins the moment you register
 
Workshop Name:
Start Date:
End Date:
1. Which are the areas of my life that I intend to enhance? :
2. My weaknesses are:
3. My strengths are:
4. What am I searching for?
5. Is my search complete?
6. Who am I being now?
7. I intend to gain from this workshop (write as already gained): e.g. I am happy I have got my new house.
8. What am I a stand for, from now?

Declaration
1. I confirm 100% presence and participation on all days of the workshop
2. I am eager to see myself as I really am Yes No
 
Name : Signature :
1. Carry a copy of your filled in questionnaire & bank pay-in-slip in the workshop.

2. Workshop is complete when you send your feedback after 21 days post-workshop practice

3. *Every Kryon Source Workshop comes with a money back guarantee
 
Thanking you,
KSE TEAM